<html>
<head>
	<meta charset="UTF-8" >
	<link rel="stylesheet" type="text/css" href="css/sign_up.css">
	<title>FREEBED</title>
</head>
<body>


	<?php
	 include('menu_loggedoff.php');
	?>



<div id="inscription">
		<h2>Inscrivez-vous !</h2>		
		<form method="POST" action="inscription.php" id="signup_form" class="container">
		<fieldset>

		<br/>

		<p>
		<label for="prenom">Votre prénom</label></br>
		<input type="text" id="prenom" name="prenom" maxlength="40" required/><br>
		</p>

		<br/>

		<p>
		<label for="nom">Votre nom</label></br>
		<input type="text" id="nom" name="nom" maxlength="40" required/>
		</p>

		<br/>	

		<p>
		<label for="mail">Votre adresse mail</label>
		<input type="mail" id="mail" name="mail" maxlength="100" required/><br/>
		</p>
		<br/>

		<p>
		<label for="password">Votre mot de passe</label></br>
		<input type="password" id="password" name="password" minlenght="6" maxlength="35" required/><br/>
		</p>

		<br/>

		<p>
		<label for="verifpassword">Retappez le mot de passe</label></br>
		<input type="password" id="verifpassword" name="verifpassword"  minlenght="6" maxlength="35" required/><br/>

		</p>

		<br/>


		<p>
		<label for="num1">Votre numéro de téléphone</label></br>
		<input type="text" id="num1" name="num1"  minlenght="10" maxlength="10" required/><br/>

		<br/>

		<p>
		<label for="num2">Votre numéro de téléphone secondaire (facultatif)</label></br>
		<input type="text" id="num2" name="num2"  minlenght="10" maxlength="10" /><br/>

		</p>

		

		<br/>
		<p>
		<label for="cu">J'accepte les conditions générales</label></br>
		<input type="checkbox" required/><br/></br>
		</p>

		<p>
		<button id="button" type="submit" name="inscription" value="inscription">Inscription</button>
		</p>

		</fieldset>
		</form>
</div>

</body>
</html>